Pre-Approved Payment Authorization-Water&Sewer

Pre-Authorized Payment Sign-Up

Water/Sewer Account Number 

Name 

Address 

Telephone: Home   Work 

Email 

Bank/Financial Institution 

Branch 

Bank Account Number 

I authorize the Town of Bancroft to debt my account for the amount of my current bill on the due date  I agree.

Please email a copy of a VOID cheque to kfransky@bancroft.ca, or drop a VOID cheque to the Municipal Office to complete your request. Thank you. 



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